Features  |   November 2013
Top 50 Concerns, Questions and Comments From Anesthesia Techs When Preparing for Alternate Site Anesthesia
Author Affiliations
  • Joseph F. Answine, M.D.
    Committee on Equipment and Facilities
Article Information
Airway Management / Cardiovascular Anesthesia / Pediatric Anesthesia / Radiological and Other Imaging / Respiratory System / Technology / Equipment / Monitoring / Features
Features   |   November 2013
Top 50 Concerns, Questions and Comments From Anesthesia Techs When Preparing for Alternate Site Anesthesia
ASA Monitor 11 2013, Vol.77, 16-17.
ASA Monitor 11 2013, Vol.77, 16-17.
A growing number of anesthetics are performed outside the O.R. The O.R., however, is not only our comfort zone as anesthesiologists but also the comfort zone of the anesthesia technologists and technicians. Through years of study and trial-and-error, we have created the ultimate anesthetic site with extensive monitoring as well as numerous resources to handle uncommon complications. As the liaison between ASA and the American Society of Anesthesia Technologists and Technicians (ASATT), writing an article on alternate-site anesthesia from the perspective of our techs seemed appropriate. Thousands of anesthetics are performed outside the O.R. at Penn State Hershey. Our anesthetizing sites include (but are not limited to): MRI, CT scanner, invasive radiology, radiation therapy, cardiac catheterization lab, interventional neuroradiology, adult and pediatric endoscopy suites, ICU, ER, and numerous small-procedure rooms throughout the hospital. At Pinnacle Health in Harrisburg, Pennsylvania, we provide alternate-site coverage less frequently (but the numbers are growing); therefore, there are less-established protocols and “more bugs to work out” for the anesthesiologists as well as technicians. As anesthesiologists, we expect to provide the same level of anesthesia care with the same safety mechanisms in place regardless of where we are. That puts an incredible burden on the anesthesia team as a whole.
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